171 NE 102 St (6)Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ' 9 Car No Street
Registered Architect and /or Engineer
Employing Electrician's Name Lewis C Wagner
Location and Legal Description Lot
1
Service Overhead Size Feeders Y 1 Conduit
Underground
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date Deo 13/54
SS.
228023
No 993 Street Central Blvd
Block 13 See 1 Subdivision U -. -fir`
Street and Number where work is to be performed —No..- 1.7.1.•• B E. Street 102 nd St
State work to be performed and purpose of building (By Floors) wine. B.e &idenne
New Building Remodeling Addition Repairs No. of Stories
Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he unders n s and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section. 5966, Compiled Gen rr Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed un ler this permit, as are
licensed by Miami Shores Village.
(Signed
i tar—
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re•inspec n fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or work nship. I'
SWITCH
OUTLETS
LIGHT
OUTLETS
PLUG
RECE'P'T'S
FIXTURES
NO. LAMPS
REFRIO.
OUTLET
IRON
OUTLET
RANGE
OUTLET
RANGE
CONN.
WATER
HEATER
W. HEAT.
CONN.
SPACE
HEATER
STRIP
HEATER
TOTAL
CONTR.
LIST LIST
12
22
4
1
1
1
/
2
CHECK
it
44
10
7r ,
e>7)
(,�
ENT.
SW.
DIST.
CAB.
SERVI,CE
TEMP.
SERVICE
PERM.
-
MOTORS
0.1 HP
M OTORS NEON
HP TRANS.
RADIO
TOTAL
CONTR.
LIST
/
1 I b b
1
)
1
'
1
'�1
f (SU
1
M
7S
r 1.5
Kitohen Exanst
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Fan
CHECK
Permit No
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other
structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida,
and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division
of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at
building during progress of work.
Owner's Name and Address ' 9 Car No Street
Registered Architect and /or Engineer
Employing Electrician's Name Lewis C Wagner
Location and Legal Description Lot
1
Service Overhead Size Feeders Y 1 Conduit
Underground
Amount of Permit $
STATE OF FLORIDA, }
COUNTY OF DADE.
My Commission Expires
MIAMI SHORES VILLAGE
ELECTRICAL INSPECTION DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date Deo 13/54
SS.
228023
No 993 Street Central Blvd
Block 13 See 1 Subdivision U -. -fir`
Street and Number where work is to be performed —No..- 1.7.1.•• B E. Street 102 nd St
State work to be performed and purpose of building (By Floors) wine. B.e &idenne
New Building Remodeling Addition Repairs No. of Stories
Sw Amps Main Fuses Amps
Type of Installation — Conduit Tubing B.X.L Metal Moulding
(Signed)
Electrical Inspector.
The undersigned applicant for this building permit does hereby certify that he unders n s and accepts his obligations as an employer of
labor under the Florida Workmen's Compensation Act, being Section. 5966, Compiled Gen rr Laws of Florida Permanent Supplement, and
has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the
work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices
as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed un ler this permit, as are
licensed by Miami Shores Village.
(Signed
i tar—
Master Electrician.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, and he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Notary Public, State of Florida
NOTE: A re•inspec n fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty
materials and /or work nship. I'